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Organization
SAN JOSE FAMILY DENISTRY
Active
Organization
SAN JOSE FAMILY DENISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHONDA ALLEMAND (FRONT OFFICE)
(904) 737-8081
Entity
Organization
Contact information
Practice address
9310 OLD KINGS RD S STE 601, JACKSONVILLE, FL 32257-6178
(904) 737-8081
(904) 737-3343
Mailing address
9310 OLD KINGS RD S STE 601, JACKSONVILLE, FL 32257-6178
(904) 737-8081
(904) 737-3343
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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